Individual
CYNTHIA PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
831 LOVECHIO DR, MISHAWAKA, IN 46544-5639
(360) 628-1131
Mailing address
831 LOVECHIO DR, MISHAWAKA, IN 46544-5639
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28283909A
IN
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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